Gender differences in eating disorders

Eating disorders (EDs) are characterized by disturbances in eating behavior and occur worldwide, with a lifetime prevalence of 2 to 5%. Their etiology is complex and multifactorial, involving a complex interplay between genetic, biological, psychological, sociocultural, and environmental factors. Th...

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Main Authors: Elena Ilaria Capuano, Angela Ruocco, Beatrice Scazzocchio, Giulia Zanchi, Camilla Lombardo, Annalisa Silenzi, Elena Ortona, Rosaria Varì
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1583672/full
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author Elena Ilaria Capuano
Angela Ruocco
Beatrice Scazzocchio
Giulia Zanchi
Camilla Lombardo
Annalisa Silenzi
Elena Ortona
Rosaria Varì
author_facet Elena Ilaria Capuano
Angela Ruocco
Beatrice Scazzocchio
Giulia Zanchi
Camilla Lombardo
Annalisa Silenzi
Elena Ortona
Rosaria Varì
author_sort Elena Ilaria Capuano
collection DOAJ
description Eating disorders (EDs) are characterized by disturbances in eating behavior and occur worldwide, with a lifetime prevalence of 2 to 5%. Their etiology is complex and multifactorial, involving a complex interplay between genetic, biological, psychological, sociocultural, and environmental factors. They are more common among females than males and may be associated with medical and psychiatric complications, impaired functioning, and decreased quality of life. This narrative review aims at providing an updated contribution to the current understanding of gender differences in eating disorders (EDs) focusing on male population to foster more targeted and effective clinical interventions. A comprehensive review of the scientific literature was conducted by analyzing several major databases, including PubMed, PsycINFO, and Google Scholar. Only in recent years, there has been increased attention on the male population, revealing multiple differences between genders in terms of prevalence, onset, phenomenology, diagnosis, comorbidities, and outcomes of EDs. Moreover, the relationship between different sexual orientations and/or gender identities and EDs is an emerging field of study. Data suggest an increase in eating disorders (EDs) also among the male population underlines the importance that healthcare personnel of all specialties acquire basic competencies for adequately tackling these disorders in a gender perspective. In particular, prevention and early intervention, especially during critical developmental periods like puberty and adolescence, are crucial to avoid permanent damage. Future research and public health initiatives involving schools and families and targeting males should be addressed to promote a healthy relationship with food and body image, reduce stigma, and encourage people to seek help when needed.
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spelling doaj-art-9cef3a692d01429baefd763c93de7d382025-08-20T03:17:40ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-06-011210.3389/fnut.2025.15836721583672Gender differences in eating disordersElena Ilaria Capuano0Angela Ruocco1Beatrice Scazzocchio2Giulia Zanchi3Camilla Lombardo4Annalisa Silenzi5Elena Ortona6Rosaria Varì7National Centre for Control and Evaluation of Medicines, Istituto Superiore di Sanità, Rome, ItalyReference Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, ItalyReference Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, ItalyReference Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, ItalyPublic Health Section, Department of Life, Health and Environmental Sciences, University of L’Aquila, L’Aquila, ItalyReference Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, ItalyReference Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, ItalyReference Center for Gender-Specific Medicine, Istituto Superiore di Sanità, Rome, ItalyEating disorders (EDs) are characterized by disturbances in eating behavior and occur worldwide, with a lifetime prevalence of 2 to 5%. Their etiology is complex and multifactorial, involving a complex interplay between genetic, biological, psychological, sociocultural, and environmental factors. They are more common among females than males and may be associated with medical and psychiatric complications, impaired functioning, and decreased quality of life. This narrative review aims at providing an updated contribution to the current understanding of gender differences in eating disorders (EDs) focusing on male population to foster more targeted and effective clinical interventions. A comprehensive review of the scientific literature was conducted by analyzing several major databases, including PubMed, PsycINFO, and Google Scholar. Only in recent years, there has been increased attention on the male population, revealing multiple differences between genders in terms of prevalence, onset, phenomenology, diagnosis, comorbidities, and outcomes of EDs. Moreover, the relationship between different sexual orientations and/or gender identities and EDs is an emerging field of study. Data suggest an increase in eating disorders (EDs) also among the male population underlines the importance that healthcare personnel of all specialties acquire basic competencies for adequately tackling these disorders in a gender perspective. In particular, prevention and early intervention, especially during critical developmental periods like puberty and adolescence, are crucial to avoid permanent damage. Future research and public health initiatives involving schools and families and targeting males should be addressed to promote a healthy relationship with food and body image, reduce stigma, and encourage people to seek help when needed.https://www.frontiersin.org/articles/10.3389/fnut.2025.1583672/fulleating disordersmengender differencesanorexia nervosabulimia nervosabinge eating disorder
spellingShingle Elena Ilaria Capuano
Angela Ruocco
Beatrice Scazzocchio
Giulia Zanchi
Camilla Lombardo
Annalisa Silenzi
Elena Ortona
Rosaria Varì
Gender differences in eating disorders
Frontiers in Nutrition
eating disorders
men
gender differences
anorexia nervosa
bulimia nervosa
binge eating disorder
title Gender differences in eating disorders
title_full Gender differences in eating disorders
title_fullStr Gender differences in eating disorders
title_full_unstemmed Gender differences in eating disorders
title_short Gender differences in eating disorders
title_sort gender differences in eating disorders
topic eating disorders
men
gender differences
anorexia nervosa
bulimia nervosa
binge eating disorder
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1583672/full
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